Andrew Duncan Penn, RN, NP, CNS

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

15914 Issued in CA

Practice address

4180 La Jolla Village Dr Ste 240-250
La Jolla, CA 92037-1402

Phone

(415) 793-9240

NPI assigned

Nov 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist, Master of Arts, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Neurohealth, Inc.

  • Behavioral Neurology & Neuropsychiatry Physician
  • La Jolla, CA
  • NPI 1154864874
  Medicare reassignment NPD
• UCSF Psychiatry

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1427105279
  NPD (past)
• University of California San Francisco

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • San Francisco, CA
  • NPI 1992818256
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1861564312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 LA JOLLA VILLAGE DR STE 240-250",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371402",
            "telephone_number": "415-793-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 LA JOLLA VILLAGE DR STE 240-250",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371402",
            "telephone_number": "415-793-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "ANDREW",
        "middle_name": "DUNCAN",
        "name_prefix": "Mr.",
        "credential": "RN, NP, CNS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "621643",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "CA",
            "license": "2311",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "15914",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "15914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Allen Pedersen, M.B.B.S.
• Petra Elizabeth Jans Pederson, MD, PHD
• Olivia Peduto, RD
• Avanee S Peel, M.D.
• Patrick James Penalosa
• Garrett Pennell, OD
• Penny Michele Abrams PHD
• Ryan Harrison Penticuff, M.D.
• Courtney Clay Peraza
• Veronica Perez Canabal, DC

• Psychiatric/Mental Health Nurse Practitioner in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.